How can I resolve wound healing and bowel difficulties after hemorrhoid surgery?

  Hemorrhoids are a chronic condition of soft venous masses formed by dilated and varicose veins under the submucous plexus at the end of the human rectum and under the skin of the anal canal, located in the anal area.  Hemorrhoids can be treated conservatively with diet and lifestyle modification, medication, suppositories or creams, and outpatient treatment; or surgically. However, surgical treatment is generally indicated for patients with combined internal and external hemorrhoids or III or IV hemorrhoids, and is especially indicated for patients in whom other treatments have failed or whose condition has worsened. Approximately 5-10% of symptomatic hemorrhoid patients clinically require hemorrhoidectomy. After hemorrhoid surgery, postoperative care is very important for the patient’s recovery.  In order to promote wound healing, patients should lie on their knees for 4-6h and observe whether the incision dressing is oozing or not, and turn over slowly to prevent bleeding; they can get out of bed properly 12h after surgery, but should not do strenuous activities or sit or squat for a long time to avoid affecting the wound healing; in addition, avoid eating stimulating foods such as onion, garlic and chili; diet should be light and easy to digest to avoid constipation or The diet should be light and easy to digest to avoid constipation or diarrhea, which can affect the wound healing.  After hemorrhoid surgery, it is not uncommon for patients to have difficulty defecating due to reduced activity, low intake of dietary fiber, and insufficient hydration, as well as fear of pain. Medical staff can reduce the pain perception by guiding patients in advance, correctly understanding postoperative pain, gradually eliminating tension and improving psychological tolerance according to the patient’s situation. In addition, in addition to cognition of pain and elimination of concerns, patients need to increase activities appropriately to promote bowel movement; they also need to have a balanced diet, eat more fruits and vegetables, and develop good habits of regular bowel movements; if necessary, they can take laxatives under medical advice. It is also advisable to take a sitz bath or warm bath after defecation, which helps to keep the wound clean and avoid complications.